Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justine Licato

Individual provider Specialist · NPI 1407348717

Justine Licato is a Specialist in Elmhurst, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018

Practice location Address checks out

8403 57th Ave
Elmhurst, NY 11373-4833
Phone: (718) 899-9060
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 2663450 (NY)

Record details

NPI number1407348717
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 1, 2018
Last updated in NPPESJune 1, 2018
Mailing address6955 74th St, Middle Village, NY 11379-2516

Other providers in Elmhurst